| NPI | 1932648102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANCHEL Owner/Director 248-421-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014732) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2025-10-01 |